| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,526 |
2,310 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,648 |
1,410 |
$47K |
| V2020 |
Frames, purchases |
1,085 |
994 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
513 |
436 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
604 |
564 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
362 |
204 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
88 |
44 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
176 |
$1K |